Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I
Low
$74
Average
$309
Median
$261
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 4.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +26 other terms | 265 | $173 | $348 | $542 | 156% | — | $1 – $8.4k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 230 | $203 | $229 | $219 | 96% | — | $0 – $4.8k |
| 3 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 149 | $147 | $195 | $216 | 111% | — | $1 – $1.4k |
| 4 | Humana fee schedule · outpatient · +20 other terms | 116 | $282 | $338 | $299 | 88% | — | $1 – $1.2k |
| 5 | Anthem fee schedule · outpatient · +17 other terms | 73 | $237 | $138 | $107 | 78% | — | $42 – $1.1k |
| 6 | Cigna fee schedule · outpatient · +19 other terms | 53 | $350 | $596 | $1.8k | 304% | — | $71 – $11.1k |
| 7 | Molina fee schedule · outpatient · +21 other terms | 40 | $79 | $144 | $263 | 182% | — | $1 – $1.9k |
| 8 | WellCare fee schedule · both · +11 other terms | 39 | $77 | $77 | $22 | 28% | — | $49 – $155 |
| 9 | Bcbs Tx fee schedule · outpatient · +3 other terms | 31 | $274 | $278 | $83 | 30% | — | $114 – $518 |
| 10 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $229 | $203 | $46 | 23% | — | $71 – $248 |
| 11 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 25 | $69 | $76 | $29 | 38% | — | $34 – $178 |
| 12 | Caresource fee schedule · outpatient · +13 other terms | 22 | $164 | $166 | $71 | 43% | — | $1 – $414 |
| 13 | MultiPlan fee schedule · outpatient · +16 other terms | 22 | $304 | $313 | $325 | 104% | — | $76 – $1.4k |
| 14 | Regence professional · fee schedule · outpatient · +6 other terms | 21 | $63 | $84 | $53 | 63% | — | $63 – $292 |
| 15 | Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms | 17 | $132 | $128 | $24 | 19% | — | $53 – $174 |
| 16 | Highmark facility · fee schedule · outpatient · +12 other terms | 17 | $132 | $249 | $231 | 93% | — | $47 – $879 |
| 17 | Medica fee schedule · outpatient · +12 other terms | 17 | $119 | $156 | $63 | 41% | — | $61 – $314 |
| 18 | Aetna Better Health fee schedule · outpatient · +13 other terms | 14 | $90 | $75 | $31 | 40% | — | $41 – $105 |
| 19 | Ambetter fee schedule · both · +11 other terms | 13 | $88 | $57 | $60 | 105% | — | $0 – $165 |
| 20 | Medicaid fee schedule · both · +9 other terms | 13 | $70 | $126 | $52 | 41% | — | $44 – $197 |
| 21 | Optum facility · case rate · outpatient · +12 other terms | 13 | $76 | $84 | $20 | 23% | — | $66 – $130 |
| 22 | Wellmark fee schedule · both · +8 other terms | 13 | $132 | $132 | $56 | 43% | — | $60 – $269 |
| 23 | Bcbs Mn fee schedule · outpatient · +6 other terms | 12 | $1.0k | $651 | $571 | 88% | — | $0 – $1.3k |
| 24 | Bcbs Nj fee schedule · outpatient · +4 other terms | 12 | $125 | $135 | $27 | 20% | — | $97 – $176 |
| 25 | Cigna Healthspring fee schedule · both · +3 other terms | 12 | $83 | $84 | $30 | 35% | — | $60 – $131 |
← Hospitals reporting CPT 76941 · Snapshot 20261113T090226Z-3ce6c0b8